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Dr. Michael Karram, MD

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Specializes in: Female Pelvic Medicine and Reconstructive Surgery and Gynecology

Cairo University, Kasr Al-Ainy Faculty of Medicine (1979)

Professional interests include: minimally invasive gynecologic surgery, urge incontinence (overactive bladder), vulva problems, and more.

4631 Ridge Avenue Suite A
Cincinnati, OH 45209

(513) 882-7006

Dr. Michael Karram, MD is a female pelvic medicine specialist in #a Cincinnati, OH specializing in female pelvic medicine and reconstructive surgery and gynecology. He graduated from Cairo University, Kasr Al-Ainy Faculty of Medicine in 1979 and has 47 years of experience. Dr. Michael Karram, MD is affiliated with The Christ Hospital Health Network and Kettering Health.

Office Locations

4631 Ridge Avenue
#a Cincinnati, OH 45209

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The Christ Hospital Health Network

4631 Ridge Avenue Suite A
Cincinnati, OH 45209

(513) 882-7006

(513) 296-6288

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7740 Washington Village Drive Suite 160
Dayton, OH 45459

(937) 436-9825

(937) 433-6508

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9593 Park Manor Boulevard
Blue Ash, OH 45242

(513) 207-1510

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Some issues Dr. Michael Karram, MD can help you with:

Pelvic Organ Prolapse

Pelvic organ prolapse is the bulging of pelvic organs into the vaginal canal due to a weak pelvic floor, causing symptoms like discomfort, pain, urinary problems, and constipation. The pelvic floor is a group of muscles that support the pelvic organs, which are made up of the bladder, rectum, small bowel, uterus, and vagina. Vaginal childbirth, menopause, pelvic surgery, radiation treatments, or being extremely overweight may cause the pelvic floor to weaken. Pelvic organ prolapse is a very common disorder among women, particularly for those who are over 50.

The choice of treatment for pelvic organ prolapse depends on the severity of the condition. Mild to moderate prolapse may be managed by doing pelvic floor strengthening exercises, taking hormone replacement therapy, or using pessaries. Pessaries are small devices inserted into the vagina to help support the pelvic organs. Pessary fitting is a quick procedure done in a doctor's office. For severe prolapse, surgical treatment may be necessary. Pelvic organ prolapse surgery repairs the following:

Cystocele or bladder prolapse, where the bladder sags into the vagina. The surgeon repairs a cystocele by strengthening the front wall of the vagina using stitches so that the bladder will no longer sag.
Enterocele or small bowel prolapse, which occurs when the small bowel descends towards the vagina. To correct an enterocele, the tissues between the small bowel and the vagina are sewn together, allowing them to provide more support.
Rectocele or posterior prolapse, which is the bulging of the front wall of the rectum into the back wall of the vagina. Surgery to repair a rectocele removes the excess stretched tissue between the rectum and vagina.
Uterine prolapse, which occurs when the uterus slips down to the vagina. To treat a uterine prolapse, the surgeon may secure the neck of the uterus (called cervix) to a ligament in the pelvis using stitches. Another option for this type of prolapse is a vaginal hysterectomy, which is the removal of the uterus.

Each of these procedures is performed through a vaginal incision, but an enterocele repair may use the abdominal approach as an alternative. If two or more pelvic organs have prolapsed, a combination of any of these procedures may be performed during the same surgical session.

For women who no longer wish to have intercourse, an operation called colpocleisis

may be a surgical option as well. By closing the vaginal canal, colpocleisis treats pelvic organ prolapse and eliminates any risk of its recurrence.

In most instances, pelvic organ prolapse surgery only requires a hospital stay of one day. Patients may experience vaginal bleeding for the first few weeks following surgery. If this happens, patients should use sanitary pads rather than tampons, as a higher risk of infection is associated with the use of tampons. To further help with recovery, patients should begin doing gentle pelvic floor strengthening exercises a few days after surgery. Doing these exercises at least three times a day as a routine tightens the pelvic floor muscles and prevents the recurrence of prolapse.

In The News

“The United States of America, acting under the direction of the Attorney General of the United States, brings this action for equitable and other relief against Defendants: Federation of Physicians...”—"Exhibit A", U.S. Department of Justice, August 2015

“The United States filed this civil antitrust Complaint on June 24, 2005, in the United States District Court for the Southern District of Ohio, Western Division, alleging that the Federation of...”—"Proposed Final Judgment And Competitive Impact : U.S. V. V. Federation Of Physicians And Dentists, Et Al.", U.S. Department of Justice, August 2015

“On June 24, 2005, the United States filed this civil antitrust action, alleging that the Federation of Physicians and Dentists (``Federation'') and Federation employee Lynda Odenkirk, along with...”—"Public Comment And Response On Proposed Final Judgment : U.S. V. V. Federation Of Physicians And Dentists, Et Al.", U.S. Department of Justice, August 2015

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Michael Karram, MD treated as a female pelvic medicine specialist in #a Cincinnati, OH during 2012 were breast exam, gynecologic procedures, lab tests and preventive care.

Volume of procedures performed by Dr. Michael Karram, MD for Medicare patients.

breast exam	58
cytology	41
doctor visit	55
gynecologic pathology	41
gynecologic procedures	58
lab tests	46
preventive care	41

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Michael Karram, MD treated as a female pelvic medicine specialist in #a Cincinnati, OH during 2013 were breast exam, gynecologic procedures, lab tests and preventive care.

Volume of procedures performed by Dr. Michael Karram, MD for Medicare patients.

breast exam	57
cytology	30
doctor visit	67
gynecologic pathology	30
gynecologic procedures	57
lab tests	36
preventive care	30

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Karram, MD.

**Gender**
Male	0
Female	105

**Ethnicity**
Non-Hispanic White	91
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	44
From 75 to 84	0
85 and over	0
Less than 65	28

Conditions of Medicare patients treated by Dr. Michael Karram, MD in 2013

Hypertension	67
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	21
Depression	28
Chronic Kidney Disease	16
Asthma	14
Osteoperosis	11
Atrial Fibrilation	0
Heart Failure	11
Chronic Obstructive Pulmonary Disease	12
Diabetes	29
Dementia	0
Cancer	12

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Michael Karram, MD treated as a female pelvic medicine specialist in #a Cincinnati, OH during 2014 were breast exam, gynecologic procedures, lab tests and preventive care.

Volume of procedures performed by Dr. Michael Karram, MD for Medicare patients.

breast exam	71
cytology	25
doctor visit	65
gynecologic pathology	25
gynecologic procedures	71
lab tests	46
preventive care	25

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Karram, MD.

**Gender**
Male	0
Female	124

**Ethnicity**
Non-Hispanic White	103
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	57
From 75 to 84	0
85 and over	0
Less than 65	34

Conditions of Medicare patients treated by Dr. Michael Karram, MD in 2014

Hypertension	59
High Cholesterol	51
Stroke	0
Ischemic Heart Disease	18
Depression	22
Chronic Kidney Disease	14
Asthma	13
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	33
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Michael Karram, MD treated as a female pelvic medicine specialist in #a Cincinnati, OH during 2015 were breast exam, gynecologic procedures, lab tests and preventive care.

Volume of procedures performed by Dr. Michael Karram, MD for Medicare patients.

breast exam	72
cytology	13
doctor visit	89
gynecologic pathology	13
gynecologic procedures	72
lab tests	31
preventive care	13

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Karram, MD.

**Gender**
Male	0
Female	240

**Ethnicity**
Non-Hispanic White	218
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	118
From 75 to 84	50
85 and over	26
Less than 65	46

Conditions of Medicare patients treated by Dr. Michael Karram, MD in 2015

Hypertension	61
High Cholesterol	52
Stroke	0
Ischemic Heart Disease	21
Depression	30
Chronic Kidney Disease	17
Asthma	18
Osteoperosis	17
Atrial Fibrilation	0
Heart Failure	14
Chronic Obstructive Pulmonary Disease	14
Diabetes	25
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Michael Karram, MD treated as a female pelvic medicine specialist in #a Cincinnati, OH during 2016 were breast exam, gynecologic procedures, lab tests and preventive care.

Volume of procedures performed by Dr. Michael Karram, MD for Medicare patients.

breast exam	70
cytology	17
doctor visit	98
gynecologic pathology	17
gynecologic procedures	70
lab tests	19
preventive care	17

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Karram, MD.

**Gender**
Male	0
Female	132

**Ethnicity**
Non-Hispanic White	109
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	72
From 75 to 84	27
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Michael Karram, MD in 2016

Hypertension	56
High Cholesterol	51
Stroke	0
Ischemic Heart Disease	17
Depression	27
Chronic Kidney Disease	18
Asthma	17
Osteoperosis	11
Atrial Fibrilation	0
Heart Failure	12
Chronic Obstructive Pulmonary Disease	10
Diabetes	27
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Michael Karram, MD treated as a female pelvic medicine specialist in #a Cincinnati, OH during 2017 were breast exam, gynecologic procedures and lab tests.

Volume of procedures performed by Dr. Michael Karram, MD for Medicare patients.

breast exam	54
doctor visit	124
gynecologic procedures	54
lab tests	45

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Karram, MD.

**Gender**
Male	0
Female	145

**Ethnicity**
Non-Hispanic White	124
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	76
From 75 to 84	35
85 and over	11
Less than 65	23

Conditions of Medicare patients treated by Dr. Michael Karram, MD in 2017

Hypertension	59
High Cholesterol	38
Stroke	0
Ischemic Heart Disease	17
Depression	21
Chronic Kidney Disease	23
Asthma	10
Osteoperosis	13
Atrial Fibrilation	0
Heart Failure	9
Chronic Obstructive Pulmonary Disease	10
Diabetes	22
Dementia	8
Cancer	10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Michael Karram, MD treated as a female pelvic medicine specialist in #a Cincinnati, OH during 2018 were breast exam, gynecologic procedures, lab tests and reconstructive surgery.

Volume of procedures performed by Dr. Michael Karram, MD for Medicare patients.

breast exam	62
doctor visit	115
gynecologic procedures	62
lab tests	32
pelvic surgery	11
reconstructive surgery	11
urologic procedures	11

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Karram, MD.

**Gender**
Male	0
Female	143

**Ethnicity**
Non-Hispanic White	126
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	81
From 75 to 84	35
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Michael Karram, MD in 2018

Hypertension	52
High Cholesterol	52
Stroke	0
Ischemic Heart Disease	15
Depression	29
Chronic Kidney Disease	13
Asthma	12
Osteoperosis	10
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	8
Diabetes	22
Dementia	0
Cancer	13

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Michael Karram, MD treated as a female pelvic medicine specialist in #a Cincinnati, OH during 2019 were reconstructive surgery, pelvic surgery, urologic procedures and lab tests.

Volume of procedures performed by Dr. Michael Karram, MD for Medicare patients.

doctor visit	170
lab tests	13
pelvic surgery	26
reconstructive surgery	26
urologic procedures	15

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Karram, MD.

**Gender**
Male	0
Female	120

**Ethnicity**
Non-Hispanic White	108
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	67
From 75 to 84	37
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Michael Karram, MD in 2019

Hypertension	56
High Cholesterol	64
Stroke	0
Ischemic Heart Disease	20
Depression	28
Chronic Kidney Disease	23
Asthma	10
Osteoperosis	14
Atrial Fibrilation	9
Heart Failure	0
Chronic Obstructive Pulmonary Disease	12
Diabetes	25
Dementia	0
Cancer	11

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Michael Karram, MD treated as a female pelvic medicine specialist in #a Cincinnati, OH during 2020 were reconstructive surgery, pelvic surgery and urologic procedures.

Volume of procedures performed by Dr. Michael Karram, MD for Medicare patients.

doctor visit	126
pelvic surgery	14
reconstructive surgery	14
urologic procedures	14

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Karram, MD.

**Gender**
Male	0
Female	109

**Ethnicity**
Non-Hispanic White	98
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	68
From 75 to 84	29
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Michael Karram, MD in 2020

Hypertension	55
High Cholesterol	49
Stroke	0
Ischemic Heart Disease	12
Depression	23
Chronic Kidney Disease	14
Asthma	0
Osteoperosis	16
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	20
Dementia	0
Cancer	15

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Volume of procedures performed by Dr. Michael Karram, MD for Medicare patients.

doctor visit	58

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Karram, MD.

**Gender**
Male	0
Female	53

**Age**
From 65 to 74	33
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Michael Karram, MD in 2021

Hypertension	47
High Cholesterol	43
Stroke	0
Ischemic Heart Disease	0
Depression	25
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Michael Karram, MD treated as a female pelvic medicine specialist in #a Cincinnati, OH during 2022 were breast exam and gynecologic procedures.

Volume of procedures performed by Dr. Michael Karram, MD for Medicare patients.

breast exam	11
doctor visit	49
gynecologic procedures	11

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Karram, MD.

**Gender**
Male	0
Female	45

**Age**
From 65 to 74	30
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Michael Karram, MD in 2022

Hypertension	53
High Cholesterol	62
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Michael Karram, MD treated as a female pelvic medicine specialist in #a Cincinnati, OH during 2023 were lab tests.

Volume of procedures performed by Dr. Michael Karram, MD for Medicare patients.

doctor visit	74
lab tests	14

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Karram, MD.

**Gender**
Male	0
Female	74

**Age**
From 65 to 74	37
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Michael Karram, MD in 2023

Hypertension	72
High Cholesterol	74
Stroke	0
Ischemic Heart Disease	20
Depression	24
Chronic Kidney Disease	20
Asthma	0
Osteoperosis	28
Atrial Fibrilation	15
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	22
Dementia	0
Cancer	15

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

The top procedures that Dr. Michael Karram, MD treated as a female pelvic medicine specialist in #a Cincinnati, OH during 2024 were breast exam and gynecologic procedures.

Volume of procedures performed by Dr. Michael Karram, MD for Medicare patients.

breast exam	16
doctor visit	52
gynecologic procedures	16

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Michael Karram, MD.

**Gender**
Male	0
Female	57

**Age**
From 65 to 74	26
From 75 to 84	20
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Michael Karram, MD in 2024

Hypertension	63
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	21
Osteoperosis	25
Atrial Fibrilation	21
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	21
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Michael Karram, MD for Medicare patients.

The highest averages for the top procedures that Dr. Michael Karram, MD treated as a female pelvic medicine specialist in #a Cincinnati, OH were breast exam, gynecologic procedures, lab tests and preventive care.

breast exam	52
cytology	25
doctor visit	87
gynecologic pathology	25
gynecologic procedures	52
lab tests	31
pelvic surgery	17
preventive care	25
reconstructive surgery	17
urologic procedures	13

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Michael Karram, MD.

**Gender**
Female	103
Male	0

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	75
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
85 and over	2
75 to 84	17
Less than 65	10
65 to 74	54

Average of Total of Conditions of Medicare patients treated by Dr. Michael Karram, MD From 2012 - 2024

The highest averages of the most common conditions of Medicare patients that Dr. Michael Karram, MD treated were hypertension, high cholesterol, depression and diabetes.

Hypertension	53
High Cholesterol	51
Stroke	0
Ischemic Heart Disease	12
Depression	19
Chronic Kidney Disease	12
Asthma	8
Osteoporosis	11
Heart Failure	3
Chronic Obstructive Pulmonary Disease	5
Diabetes	18
Atrial Fibrillation	3
Cancer	5
Dementia	0

Education & Training

Dr. Michael Karram, MD graduated from Cairo University, Kasr Al-Ainy Faculty of Medicine in 1979. He completed residency at Good Samaritan Hospital. He is certified by the American Board of Ob & Gyn (Obstetrics & Gynecology) and has a state license in Kentucky.

Medical School: Cairo University, Kasr Al-Ainy Faculty of Medicine (1979)

Residency: Good Samaritan Hospital (1984)

Board Certification: American Board of Ob & Gyn (Obstetrics & Gynecology)

Licensed In: Kentucky

Affiliations & Hospitals

Dr. Michael Karram, MD is associated with these hospitals and organizations:

The Christ Hospital Health Network

Kettering Health

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General Payments

These charts describe general payments received by Dr. Michael Karram, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Allergan, Inc.	$16,193 BOTOX $27	$16,166
Minerva Surgical, Inc	$13,231 ENDOMETRIAL ABLATION SYSTEM $13,231
Intuitive Surgical, Inc.	$3,473 Da Vinci Surgical System $3,473
Coloplast Corp	$2,165 ALTIS $1,691	FEMALE INCONTINENCE $291	SUPRIS $183
HOLOGIC INC	$1,868 NovaSure $1,404	Myosure $414	AQUILEX $31	NS advanced $17	NOVASURE AND MYOSURE $2
Other	$9,972 ENSEAL Product Family $1,594	Incontinence Products $1,200	Sacral Nerve Stimulation - Neuro $768	Axonics $750	Myrbetriq $359	Other $5,301

**Types of Payments**
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$16,166
Consulting Fee	$13,875
Food and Beverage	$10,058
Travel and Lodging	$3,557
Education	$2,897
Other	$349

Research Payments

Dr. Michael Karram, MD has received 15 research payments totaling $13,209.

Biography

Dr. Michael Karram specializes in female pelvic medicine and reconstructive surgery and gynecology. Clinical interests for Dr. Karram include urge incontinence (overactive bladder), pelvic reconstructive surgery, and sexual dysfunction. His professional affiliations include The Christ Hospital Health Network and Kettering Health. His education and training includes medical school at Cairo University, Kasr Al-Ainy Faculty of Medicine and residency at Good Samaritan Hospital.